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BRENNIN KYLE O'BRIEN PHARMD
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1639782311
Individual Registrant: BRENNIN KYLE O'BRIEN PHARMD
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
111 N MAIN AVE BAUDETTE, MN 56623-2466 US
Tel: 218-634-1236 Fax: --
Tel: 218-634-1236 Fax: --
Contact information for business:
111 N MAIN AVE BAUDETTE, MN 56623-2466 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1639782311
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | MN | 124709 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
